Savita (age 40yrs, Height 160cm, weight 50kg) is suffering from Liver cirrhosis with ascites.Write the daily energy, protein requirement of Savita. Also prepare a list of foods which are to be permitted and foods that have to be avoided
| Nutrients | Cirrhosis |
| Kilocalories (Kcal) | 2000-3000 |
| Carbohydrate(g) | 300-400 |
| Protein(g) | Moderate 0.8- 1g/kg (70g) |
| Fat (g) | Low 25% total Kcal |
| Vitamins & Minerals | Vitamin B and C, folic acid, calcium, magnesium and zinc And iron if anaemic |
A high carbohydrate, mclderate protein and low fat diet is advised to a paticnt with liver cirrhosis along with vitamin and mineral supplementation. Since anorexia is at its peak, the food should be given in several feedings with moderate portions (6-8 feedings). The diet needs progression from liquid, soft to normal diet, depending on the acute stage and recovery. Judicious use of spices and condiments to stimulate appetite is needed. High calorie and protein beverages are useful in between meals. In case of complications of encephalopathy low protein diet needs to be given. Fat also needs to be less and gradually increased as the subject improves. Nutrition care should maintain or improve the nutritional status. Individualized diets must be given depending on the degree of malnutrition and tolerance level of the patient. Counseling the patient on diet and food choices is ______ _____ ___ ____ ________ ____ ______ __________ ________ __________.
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